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Deinstitutionalization: Its Impact on Community Mental ...

Page 40 The Alabama Counseling Association Journal, Volume 35, Number 1 Deinstitutionalization: Its Impact on Community Mental Health Centers and the Seriously Mentally Ill Stephen P. Kliewer Melissa McNally Robyn L. Trippany Walden University Abstract Deinstitutionalization has had a significant Impact on the Mental health system, including the client, the agency, and the counselor. For clients with serious Mental illness, learning to live in a Community setting poses challenges that are often difficult to overcome. Community Mental health agencies must respond to these specific needs, thus requiring a shift in how services are delivered and how Mental health counselors need to be trained. The focus of this article is to explore the dynamics and challenges specific to deinstitution-alization, discuss implications for counselors, and identify solutions to respond to the identified challenges and resulting needs.

having SMI in the community setting. One of the most successful of these approaches is Assertive Commu-nity Treatment, in which a multidisciplinary team works with clients who have SMI in their natural setting (e.g., home, work; ACTA, 2007; Marsh, 2006). This model has demonstrated effectiveness as a meta-analysis

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  Community, Tiny, Commu, Assertive, Assertive commu nity

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